Pancreatic Cancer Quiz
Created by Connor Bohlken and Chris Galbraith
Edited by Dr. Paris Ingledew
You are a 3rd year medical student working with Dr. Icanchange. You are discussing risk factors for pancreatic cancer. Dr. Icanchange is a strong patient advocate and believes that one of the best ways to empower a patient is to assist them with empowering themselves. Dr. Icanchange asks you, which of the following is an example of a non-modifiable risk factor for pancreatic cancer.
Obesity and Inactivity
Long Term Excessive Alcohol Use
Poorly Controlled Type 2 Diabetes
Which of the following patients is NOT a good candidate for pancreatic cancer screening?
Fred: a 58 year old male who has two first degree relatives affected with familial pancreatic cancer.
Daphne: a 61 year old female who is a carrier of lynch syndrome and has one affected first degree relative.
Scoob: a 62 year old hairy man with hereditary pancreatitis.
Velma, a 72 year old female who is a carrier of BRCA 1.
Shaggy, a 68 year old chain smoking diabetic with chronic pancreatitis.
You are a 4th year medical student on a surgical elective. You are seeing patients in your attending’s referral clinic. Your next patient is Mr. Carotene, a 76 year old male. The referral letter is brief: “76 year old male, history of Type 2 diabetes poorly controlled, known to be from a family with BRCA2 mutations, 50 year pack history smoking cigarettes, painless jaundice for 3 weeks”. Based on the note alone, what is your leading diagnoses?
Pancreatic Head or Neck Cancer
Pancreatic Tail Cancer
You are a fourth year medical student in an outpatient surgical clinic, working with the esteemed Dr. Von Bilroth. Your first patient of the day is a 72 year old male who has been referred to you for “weight loss and skin changes”. Immediately after meeting them you realize they are markedly jaundiced. Additionally, they endorse a recent history of nausea / vomiting, dark urine, and back pain. Their physical exam shows a positive courvoisier’s sign and ascites. You report back to Dr. Von Bilroth and say you suspect pancreatic cancer. Dr. Von Bilroth says “great, von great” and then proceeds to ask you what is a tumour marker that may be used in the laboratory workup of pancreatic cancer. You answer:
Dr. Von Bilroth is impressed with your knowledge of tumor markers. She is interested to see if you know how to appropriately work up certain patient presentations. For instance, what would be your chosen modality for a patient presenting with jaundice but no epigastric pain or weight loss?
3 Series Abdominal Xray
You are a 4th year medical student who is passionate about pathology. You are doing an elective in pathology with Dr. Wager. Dr. Wager had three passions in life, collectible hot-wheels cars, fly fishing, and medical statistics, in that order. Dr. Wager, asks you, what is the most common form of Pancreatic neoplasm, you answer:
Acinar Cell Carcinoma
Pancreatic Neuroendocrine Tumor
Intraductal Papillary Mucinous Neoplasm
After rounding all morning, you are late to the OR. You scrub in and try to quietly enter the room. You did not have a chance to see the patient’s chart and see that it is Dr. Doom performing the surgery. Of course, Dr. Doom sees you. They raise an eyebrow and say “unless you can tell me the surgical technique for resection of cancer on the head of the pancreas, you can leave the room”. A silent tear drifts down your cheek. You answer:
You are a third year medical student who has just started their third year clinical rotation in Oncology. Today you will be working with Dr. Alltissue, who primarily treats pancreatic cancers. You begin the day with a quick review of TNM staging. To gauge your knowledge she asks the following: If you have a patient with a known pancreatic cancer that has the following characteristics: 3 cm in longest direction, 2 regional lymph nodes, no distant metastasis. What TNM stage would it be?
T1b, N0, M0
T2, N2, M0
T2, N1, M1
T4, N0, M1
T2, N1, M0
You are a 3rd year medical student working in a family medicine clinic. Your attending, Dr. Honest, is a strong proponent of full disclosure when speaking to a patient. Dr. Honest asks you. Knowing the poor prognosis associated with pancreatic cancer, what would be a reasonable thing to tell a patient with regards to their prognosis if they have been newly diagnosed with this disease?
The prognosis of pancreatic cancer is unfortunately poor, but survival estimates change based on treatment.
The prognosis of pancreatic cancer is good, survival estimates are high in all forms of treatment.
The prognosis of pancreatic cancer is unfortunately poor, survival estimates approach 5% even with the best treatment for all stages.
The prognosis of pancreatic cancer is good, survival estimates are highest in those treated with surgical resection.
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